Plastic Bronchitis. Interesting Case Report.
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Abstract
Plastic bronchitis is a rare and little-studied disease. It is characterized by partial or total obstruction of the lower airway by rubbery and firm molds or plasters, made up of multiple substances that accumulate in the bronchial lumen. Currently, there is no consensus on real pathophysiology. It can present itself with mild symptoms such as cough, wheezing and dyspnea, to fatal events of respiratory failure. They are classified into type I (inflammatory) and type II (acellular). The presence of plastic bronchitis is a complication of several diseases and in corrective procedures for congenital heart disease (Fontan procedure). Diagnosis is made by identifying bronchial casts, either by the patient expectorating them or by bronchoscopy. Multiple therapies have been used that only have anecdotal evidence. In recent years, good results have been observed with the use of heparins and tPA nebulized and instilled by bronchoscopy.
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References
Hlutkina N, Sadadiwala M, Mevawala H. Plastic bronchitis and a novel management approach with streptokinase inhalation therapy: a case study. Int J Res Med Sci 2023;11:691–6.
Grizales CL. Plastic bronchitis: A case report. Respir Med Case Rep 2019;28:100876.
Caruthers RL, Kempa M, Loo A et al. Demographic Characteristics and Estimated Prevalence of Fontan-Associated Plastic Bronchitis. Pediatr Cardiol 2013;34(2):256–61.
Eberlein MH, Drummond MB, Haponik EF. Plastic bronchitis: a management challenge. Am J Med Sci 2008;335(2):163–9. Doi: 10.1097/MAJ.0b013e318068b60e.
Shah SS, Drinkwater DC, Christian KG. Plastic bronchitis: is thoracic duct ligation a real surgical option? Ann Thorac Surg 2006;81(6):2281–2283. Doi: 10.1016/j.athoracsur.2005.07.004
Schmitz J, Schatz J, Kirsten D. Bronchitis plástica. Pneumologie 2004;58(06):443–8.
Ruiz E, López Castillo MDC, Caro Aguilera P, Perez-Frias J. Bronquitis plástica en pediatría: manejo y tratamiento. Arch Bronconeumol 2017;53(8):467-468. Doi: 10.1016/j.arbres.2016.12.008
Bobillo-Perez S, Balaguer M, Cambra FJ. Lung ultrasound in plastic bronchitis. Med Intensiv 2022;46(2):116–7.
Pérez Cateriano V, Pasco Ulloa JC. Bronquitis plástica como causa de obstrucción del tubo orotraqueal: a propósito de un caso. Horiz Med 2016;16(4):72-74.
Méndez Oropeza GJ, Carrasco Félix R, García Montes J et al. Presentación tardía de bronquitis plástica posterior a procedimiento de Fontan. Rev Inst Nac Enfermedades Respir 2007;20(4):274–9.
Mendoza Soto A, Galletti L, Gómez de Quero P, Ramos Casado M, Velasco Bayón JM. Bronquitis plástica. A propósito de un caso y revisión de los casos asociados a cirugía de Fontan. An Pediatría 2005;62(1):72–5.
TPA inhalado por tratamiento en Enteropatías perdedoras de proteínas y Bronquitis plástica - Registro de ensayos clínicos - ICH GCP [Internet]. [Consultado 28 abr 2024]. Disponible en: https://ichgcp.net/es/clinical-trials-registry/NCT02315898
Martín de Vicente C, Sorribes I, Estorch J, Caudevilla Lafuente P, Díez Muñoz M, García Íñiguez JP. Bronquitis plástica en pediatría. Descripción de 2 casos clínicos. Bol Soc Pediatría Aragón Rioja Soria 2016;46(3):94–8.
Hussain H, Kherallah N. Eosinophilic lung disease with plastic bronchitis and bronchiectasis in an adolescent male. Clin Case Rep 2018;6(12):2407–10.
Patel N, Patel M, Inja R, Krvavac A, Lechner AJ. Plastic Bronchitis in Adult and Pediatric Patients: A Review of its Presentation, Diagnosis, and Treatment. Mo Med 2021;118(4):363–73.
Li Y, Williams RJ, Dombrowski ND et al. Current evaluation and management of plastic bronchitis in the pediatric population. Int J Pediatr Otorhinolaryngol 2020;130:109799. Doi: 10.1016/j.ijporl.2019.109799.
Maqsood A, Imel Lukken R. Plastic Bronchitis. N Engl J Med 2022;23;386(8):780. Doi: 10.1056/NEJMicm2111951
Itkin MG, McCormack FX, Dori Y. Diagnosis and Treatment of Lymphatic Plastic Bronchitis in Adults Using Advanced Lymphatic Imaging and Percutaneous Embolization. Ann Am Thorac Soc 2016;13(10):1689–96. Doi: 10.1513/AnnalsATS.201604-292OC.
Robinson M, Smiley M, Kotha K, Udoji T. Plastic Bronchitis Treated With Topical Tissue-Type Plasminogen Activator and Cryotherapy. Clinical Pediatrics 2016;55(12):1171-1175. Doi:10.1177/0009922815614358
Martínez Meñaca A, Agüero Balbín R, Mora Cuesta VM, Ciorba C, Espinoza Pérez JA. Protocolo diagnóstico y tratamiento empírico de la bronquitis aguda. Medicine (Madr) 2014;11(66):3963–3965. Doi: 10.1016/S0304-5412(14)70868-6